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            <Label Content="Senor Dr." FontSize="13" Height="28" HorizontalAlignment="Left" Margin="63,247,0,0" Name="labelT1" VerticalAlignment="Top" />
            <Label Content="Centro Medico:" FontSize="13" Height="28" HorizontalAlignment="Left" Margin="63,273,0,0" Name="labelT2" VerticalAlignment="Top" />
            <Label Content="Con motivo de la apertura de un caso de violencia familiar en esta dependencia, y en cumplimiento al D.S. No. 25087," FontSize="13" Height="28" HorizontalAlignment="Left" Margin="63,319,0,0" Name="labelT3" VerticalAlignment="Top" Width="674" />
            <Label Content=" Reglamento de la Ley contra la Violencia Familiar, solicitamos la atencion y evaluacion de los danos fisicos y lesiones " FontSize="13" Height="28" HorizontalAlignment="Left" Margin="63,353,0,0" Name="labelT4" VerticalAlignment="Top" Width="674" />
            <Label Content="Nombre " FontSize="13" FontWeight="Bold" Height="28" HorizontalAlignment="Left" Margin="122,421,0,0" Name="LblVictimName" VerticalAlignment="Top" />
            <Label Content="nom" FontSize="13" FontWeight="Bold" Height="28" HorizontalAlignment="Left" Margin="122,247,0,0" Name="LblMedicalName" VerticalAlignment="Top" />
            <Label Content="centro" FontSize="13" FontWeight="Bold" Height="28" HorizontalAlignment="Left" Margin="156,273,0,0" Name="LblMedicalCenter" VerticalAlignment="Top" />
            <Label Content="FORMULARIO DE SOLICITUD DE ATENCION" FontSize="26" FontWeight="Bold" Height="34" HorizontalAlignment="Left" Margin="122,86,0,0" Name="LblTitle" VerticalAlignment="Top" Visibility="Visible" Width="536" />
            <Label Content="---------------------------------------------" Height="28" HorizontalAlignment="Left" Margin="294,596,0,0" Name="LblPSignature" VerticalAlignment="Top" Visibility="Visible" />
            <Label Content="FIRMA AUTORIDAD" Height="28" HorizontalAlignment="Left" Margin="348,608,0,0" Name="LblNamePSignature" VerticalAlignment="Top" Visibility="Visible" />
            <Label Content="Y EVALUACION MEDICA" FontSize="26" FontWeight="Bold" Height="40" HorizontalAlignment="Left" Margin="256,111,0,0" Name="LblTitle2" VerticalAlignment="Top"  Width="300" Visibility="Visible" />
            <Label Content="FORMULARIO No.4" FontSize="22" FontWeight="Bold" Height="26" HorizontalAlignment="Left" Margin="303,54,0,0" Name="LblSTitle" VerticalAlignment="Top"  Width="205" Visibility="Visible" />
            <Label Content="" FontSize="24" FontWeight="Light" Height="42" HorizontalAlignment="Left" Margin="222,185,0,0" Name="lblCaseNumber" VerticalAlignment="Top" Width="77" />
            <Label Content="11/11/2011" FontSize="18" FontWeight="Normal" Height="28" HorizontalAlignment="Left" Margin="539,187,0,0" Name="lblCaseDate" VerticalAlignment="Top" />
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            <Label Content="Fecha de Registro:" FontSize="20" FontWeight="Normal" Height="28" HorizontalAlignment="Left" Margin="363,185,0,0" Name="label42" VerticalAlignment="Top" />
            <Label Content="que hubiera sufrido la persona que responde al nombre de:" FontSize="13" Height="28" HorizontalAlignment="Left" Margin="63,387,0,0" Name="label1" VerticalAlignment="Top" />
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